Kristi Santos
Nampa,ID
Summary
Dependable Certified Pharmacy Technician effective in managing operations. Successful in encouraging team members to work efficiently and meet production targets. Well-organized, self-motivated and knowledgeable about successful strategies for managing fast-paced work.
Overview
6
6
years of professional experience
Work History
Certified Pharmacy Technician
Centene Corporation
02.2024 - Current
- Assisted pharmacists and coordinated with healthcare cares to deliver timely patient care and enhanced service quality.
- Provided compassionate assistance to patients, addressing questions and fostering trust during medication counseling.
- Partnered with pharmacists to coordinate care transitions, supporting smooth medication management for patients.
- Provided clear guidance to patients on medication usage, fostering understanding and adherence to treatment plans.
- Coordinated with insurance provider to resolve claim issues quickly, enabling patients to access needed medications without delay.
- Expedited prior authorization requests.
- Medication adherence across numerous quality measures in accordance to HEDIS.
Certified Pharmacy Technician (CPhT)
Amazon Pillpack
05.2022 - 02.2024
- Enter patient and order information into the pharmacy system
- Provide quality customer service to patients, providers and local pharmacies
- Collect, organize, and evaluate of patient information
- Receive prescriptions sent electronically from doctors’ offices
- Receive written prescription or refill requests and verify that the information is complete and accurate
- Establish and maintain patient profiles, including lists of medications taken by individual patients
- Process new and refill prescriptions
- Accept customer and prescription information required to process new and refill prescriptions, including refill authorization from doctor offices where permitted by state law
- Communicate with patients, providers and pharmacies by telephone
- Process and submit insurance claims to all of our customers.
- Analyze and verify all dates of service, billed amounts, and client data for completeness and accuracy
- Research missing and incomplete information resulting in billing errors and denials.
- Address insurance, reimbursement, and payment issues as appropriate by communicating with insurance providers, patients, and pharmacists.
- National Pharmacy Technician Certification (NHA)
- Experience recognizing and identifying patient medications
- Demonstrated ability to work as an effective team member in a remote or work from home setting
- Strong organization skills and attention to detail
- 6+ months of experience working with computer and web based tools
- Experience working under pressure in a fast-paced work environment while consistently meeting standards for productivity and quality
- DUR investigation and rejection follow up
Enrollment Specialist/pharmacy Technician
Cambia Health Solutions
11.2021 - 05.2022
- Processing open enrollment applications for Regence and Asuris insurance plans. Intake specialist for pharmaceutical prescription processing and data entry.
Administrative Assistant
Valli Information Systems
08.2020 - 05.2021
- Responsible for answering calls from patients, insurance companies, and attorney offices. Answer any questions related to patient billing, explanation of benefits and set up payment plans as well as take payments over the phone. Route service calls to the correct supervisor if applicable. Daily processing paper claims and mailing with medical records from electronic health record. Monthly collection accounts, daily and weekly deposits pulled from lock boxes and attach EOB from insurance company website, as well as preparing written deposits and taken to the bank twice a week. Monthly litigation account update by calling law office to check case status. Calling insurance companies to ensure claims were received and when payments are expected. Mail paper statements every month. Update patient address monthly. Scanning/faxing/filing, miscellaneous projects.
Administrative Assistant
Tax Express
06.2019 - 06.2020
- Responsible for answering 3 lines of business, directing calls to proper employees, greeting clients upon arrival, scheduling appointments, sorting incoming and outgoing mail, setting up new client files and complete new client paperwork, scan/copy/fax capabilities, schedule sales meetings, track sales progress and leads, email and text important reminders of upcoming events, collection accounts, file liens, personal assistant to the owner and sales manager.
Education
No Degree -
Excelsior College
Albany, NYSkills
- Pharmacy and customer records management
- Drug storage procedures
- Point of sale systems proficiency
- Patient confidentiality
- Insurance confirmation
- Pharmacy operations
- Pharmacist support
- HIPAA
- Advanced math skills
- Problem-solving skills
- Customer service
- Regulatory compliance
- Verbal and written communication
- Inventory management
- Drug utilization review
- Refill requests
- Prescription verification
Timeline
Certified Pharmacy Technician
Centene Corporation
02.2024 - Current
Certified Pharmacy Technician (CPhT)
Amazon Pillpack
05.2022 - 02.2024
Enrollment Specialist/pharmacy Technician
Cambia Health Solutions
11.2021 - 05.2022
Administrative Assistant
Valli Information Systems
08.2020 - 05.2021
Administrative Assistant
Tax Express
06.2019 - 06.2020
No Degree -
Excelsior College